| NPI | 1598158024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16319) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC017823) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2025-03-28 |